Posted in Access to healthcare, Consumer-Driven Health Care, CPT billing, Direct-Pay Medicine, Direct-Pay Practice Models, Doctor-Patient Relationship, Economic Issues, Employer-Sponsored Health Plans, Government Regulations, Health Reimbursement Arrangement (HRA), Health Savings Accounts (HSA's), Healthcare financing, Individual Market, Large group insurance market, Medicaid, Medical Costs, Medical Practice Models, Medicare, Patient Choice, Patient-centered Care, Policy Issues, Portable Insurance, primary care, Protocols, Reforming Medicaid, Reforming Medicare, Tax Policy, Technology, third-party payments, Uncategorized

Trump’s New Vision for Health Care

Hats off to John C. Goodman again! His work in leading the effort for market-based healthcare reform over the past 4 decades, and highlighting the government’s role in the dysfunctional mess we labor in, is second to none.

This Forbes article lays out a most concise and accurate rendering of what healthcare has become and why…and what to do about it.

If you’re tired of the hearing healthcare pundits wax feverishly about their favorite villains and how more regulations are the answer; or if you’re just a novice starting to explore the Healthcare conundrum, Dr. Goodman’s work is required reading. I recommend starting here and then circling back to some of his earlier work. The book “PRICELESS” is a recommended next step!

https://www.forbes.com/sites/johngoodman/2019/01/14/trumps-new-vision-for-health-care/

Posted in Access to healthcare, advance-pricing, Affordable Care Act (ObamaCare), Consumer-Driven Health Care, CPT billing, Crony Capitalism, Deductibles, Economic Issues, Free-Market, Government Regulations, Health Insurance, Healthcare financing, Independent Physicians, Medical Costs, medical inflation, Medical Practice Models, out-of-pocket costs, Patient Choice, Patient-centered Care, Policy Issues, Price Tansparency, Quality, Re-Pricing Scams, Uncategorized

Great Moments in Healthcare Consolidation: The Hospital is Having a Sale! | Robert Nelson, MD | Pulse | LinkedIn

What does the price of gasoline and the price of a chest x-ray have in common? Not much really, except the price of both have gone up in the Atlanta area recently; but the former did so for expected reasons that are predicated on behavioral economics and the relationship of demand to price. The latter went up, well, because it could.

But the sticker shock that I’ve experience lately trying to find a price on a simple chest X-ray is not due to any shortages (either perceived or real) or any sudden increase in demand. Nor was it from a sudden increase in the cost of performing an X-ray or some phenomenal increase in quality that created a better image or less radiation exposure. Nope, none of the usual factors that go into predicting price behavior were at play.

Source: Great Moments in Healthcare Consolidation: The Hospital is Having a Sale! | Robert Nelson, MD | Pulse | LinkedIn

Posted in Access to healthcare, Economic Issues, Independent Physicians, Medical Costs, Medical Practice Models, Organizational structure, outcomes, Patient Choice, primary care, Uncategorized

Consolidation of US Physician Practices Continues to Surge

images (22)Unlike the authors of the study, I have no doubt that the effects of consolidation to larger practices will just make them a meatier target for large health systems to take over.  There is virtually no chance that the kind of consolidation we see in healthcare will result in an economy of scale that benefits patients or drives down costs.  The examples of consolidation in the healthcare industry mostly point to concentrating power and escalating prices due the cartel-like relationship of PPO networks to large higher-cost providers. – The Sovereign Patient

 

US physicians are increasingly moving from smaller to larger group practices, a new study has shown.

Source: Consolidation of US Physician Practices Continues to Surge